Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alexander Frank (NPI 1164450573)

Field	Value
Entity Type	Individual
Organization	Alexander Frank
Address	5721 Nw 132nd St
City	Oklahoma City
State	OK
ZIP	73142
Taxonomy	Family Medicine Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is material in scale and effectively single‑payer: lifetime Medicare revenue is $4M and there is no Medicaid billing on file, so Medicare accounts for the entirety of reported public‑program revenue. That concentration makes Medicare utilization patterns the primary source of clinical and contracting insight for this clinician.

Revenue is highly concentrated in a small set of service lines: the precomputed figure shows that the top 3 Medicare codes by revenue account for 94.7% of this provider's total Medicare revenue. The largest single contributor is Q4217 ($3.2M, 2.8K claims, $1158 avg paid/claim) which alone represents 81.1% of Medicare revenue, followed by 99309 ($430.5K, 6.4K claims, $67 avg paid/claim; 10.8%) and 99349 ($115.4K, 1.4K claims, $83 avg paid/claim; 2.9%).

The code mix points to a practice model focused on wound products and a heavy longitudinal/venue‑based E/M volume: large revenue from Q4217 (wound/skin substitute product) combined with high volumes of nursing facility follow‑up visits (99309) and home established‑patient visits (99349) suggests integrated wound care plus substantial nursing‑facility and home‑based E/M practice rather than a purely office‑based family medicine panel. These patterns are consistent with a provider delivering or overseeing wound interventions and frequent on‑site/residence care.

Competitive standing varies by code: 99309 ranks #35 of 28092 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 99349 ranks #289 of 14284 providers nationally (98th percentile; notably above typical national volume for this code), indicating this clinician is a major national outlier on nursing‑facility and home‑visit E/M claims. By contrast, Q4217 ranks #18 of 65 providers nationally (73th percentile; typical, unremarkable volume for this code), so while Q4217 drives most revenue dollar‑for‑dollar, that code’s national volume standing is more modest relative to peers in that specific product category.

There is evidence of expanded diagnostic and ancillary services beyond core family medicine E/M: the provider reports 95816 ($56.7K, 207 claims; 96th percentile; typical, unremarkable volume for this code) and 95957 ($42.2K, 207 claims; 92th percentile; typical, unremarkable volume for this code), plus vascular studies 93922 ($10K, 196 claims; 93th percentile; typical, unremarkable volume for this code). The presence and percentile standing of these diagnostic codes suggest either onsite performance or consistent referral relationships for electroencephalography and noninvasive vascular testing.

The practice also shows substantial use of virtual and remote care coordination codes: 99422 (500 claims, $9.5K; ranks #13 of 496 providers nationally — 98th percentile; extreme outlier, far above typical national volume for this code) and multiple remote monitoring/CCM codes (99458, 99457, 99426, 99427) appear in the top lines. High relative volume in these telehealth and care‑management codes indicates operational emphasis on asynchronous/remote management and monthly monitoring workflows in addition to in‑person nursing‑facility and home visits.

Tenure is long enough to reflect an established practice: the NPI was enumerated on 2006-06-28 (~20 years ago), which supports that these billing patterns are not a transient start‑up artifact but represent a sustained operating profile that payers can evaluate for contract and utilization management.

Implications for payers and network managers: given the $4M Medicare concentration, the 94.7% revenue concentration in three codes, and the extreme outlier status on nursing‑facility E/M (99309) and high home‑visit volumes (99349), payers should prioritize review of utilization patterns, site‑of‑service documentation, and reimbursement arrangements for wound products and post‑acute/home‑based E/M services. Network negotiation or medical‑management interventions would most effectively target the top drivers Q4217, 99309, and 99349 because they dominate revenue and clinical touchpoints.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	2,800	$1,160	$3.2M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6,430	$70	$430.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,390	$80	$115.4K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	210	$270	$56.7K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	210	$200	$42.2K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	110	$130	$13.6K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	380	$30	$11K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	110	$90	$10.1K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	90	$110	$10.1K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	200	$50	$10K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Alexander Frank — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	2	10	2,800	$1,120	$3.5M
99309	3	270	170	$70	$42.7K
99308	204	270	180	$50	$26.5K
99310	88	90	90	$100	$26K
99349	5	130	120	$70	$19.8K
95957	1	10	70	$170	$15.3K
99306	38	130	60	$130	$12.3K
15271	18	30	100	$90	$10.9K
99458	12	30	130	$30	$10.1K
99426	10	10	120	$40	$9.2K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alexander Frank, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Long Term Care Specialists, Inc	OK	Geriatric Medicine (Family Medicine) Physician	$0	$3.3M
Alex Dwuma	OK	Internal Medicine Physician	$820.6K	$0
Terry Hermance	OK	Family Medicine Physician	$768.1K	$0
James Krablin	OK	Internal Medicine Physician	$754K	$0
Angela Mcguire	OK	General Practice Physician	$738.3K	$0
Tamara Altstatt	OK	Adult Health Nurse Practitioner	$436.8K	$0
Ronald Cable	OK	Family Medicine Physician	$403.2K	$0
Corey Finch	OK	Family Medicine Physician	$382.1K	$0
Justin Henson	OK	Family Nurse Practitioner	$233.9K	$0
Ashley Ford	OK	Internal Medicine Physician	$227.2K	$0

Nearby Providers

Other providers in the same ZIP code as Alexander Frank, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Mclaughlin	OK	Radiation Oncology Physician	$2M	$0
Speech Pathway LLC	OK	Speech-Language Pathologist	$0	$1.8M
Leslie Yonemoto	OK	Radiation Oncology Physician	$1.4M	$0
Mark Storey	OK	Radiation Oncology Physician	$1.1M	$0
Graciela Gallardo	OK	Family Medicine Physician	$710K	$0
David Neumann	OK	Gastroenterology Physician	$392.2K	$0
Robert Gaston	OK	Radiation Oncology Physician	$368.1K	$0
Kiran Prabhu	OK	Radiation Oncology Physician	$362.3K	$0
Mark Dawkins	OK	Dermatology Physician	$271.2K	$0
Henry Vaughan	OK	Family Medicine Physician	$223.8K	$0

Alexander Frank — Billing Profile & Reimbursement Data

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Alexander Frank — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References